Yini i-Nadolol: Ukusetshenziswa, Umthamo, Imiphumela Eceleni Nokunye

I-Nadolol iyimithi kadokotela eyisigaba semithi ebizwa ngokuthi ama-beta-blockers. Isebenza ngokwehlisa izinga lokushaya kwenhliziyo yakho futhi inciphise amandla okushaya kwenhliziyo yakho, okusiza ukwehlisa umfutho wegazi futhi kunciphise ukucindezeleka ohlelweni lwakho lwe-cardiovascular.

Le mithi isetshenziswe ngokuphepha amashumi eminyaka ukwelapha izimo ezihlukahlukene zenhliziyo nomfutho wegazi. Udokotela wakho angase akunikeze i-nadolol uma efuna i-beta-blocker esebenza usuku lonke ngomthamo owodwa nje wansuku zonke, okwenza kube lula ukuthi unamathele ohlelweni lwakho lokwelashwa.

Yini i-Nadolol Esetshenziselwa Yona?

I-Nadolol ikakhulukazi inikezwa ukwelapha umfutho wegazi ophezulu (i-hypertension) nobuhlungu besifuba obubangelwa ukuncipha kokugeleza kwegazi enhliziyweni (i-angina). Lezi yizimo ezimbili eziyinhloko lapho le mithi ibonakala ilusizo kakhulu.

Ukuze umfutho wegazi ube phezulu, i-nadolol isiza ukuphumuza imithambo yakho yegazi futhi inciphise umsebenzi wenhliziyo yakho. Lokhu kwenza kube lula ukuthi igazi ligeleze emzimbeni wakho, okwenza ngokwemvelo ukuthi umfutho wakho wegazi wehle uze ufike emazingeni aphilile.

Uma kuziwa ebuhlungwini besifuba obubangelwa yi-angina, i-nadolol inciphisa ukuthi inhliziyo yakho kumele isebenze kanzima kangakanani. Lokhu kusho ukuthi imisipha yenhliziyo yakho idinga umoya-mpilo omncane, okungavimbela noma kunciphise lezo ziqephu zobuhlungu besifuba ezingakhululeki ezenzeka lapho inhliziyo yakho ingatholi igazi elanele.

Ngezinye izikhathi odokotela baphinda banikeze i-nadolol ngezinkinga ezinye zesigqi senhliziyo noma ukuvimbela ama-migraines, nakuba lokhu kungukusetshenziswa okungavamile. Umhlinzeki wakho wezempilo uzokuchazela ngqo ukuthi kungani ekhethe le mithi ngesimo sakho esithile.

Isebenza Kanjani i-Nadolol?

I-Nadolol isebenza ngokuvimba izamukeli ezithile enhliziyweni yakho nasemithanjeni yegazi ebizwa ngokuthi ama-beta-receptors. Cabanga ngalezi zamukeli njengamashintshi avamela ukutshela inhliziyo yakho ukuthi ishaye ngokushesha futhi kanzima lapho umzimba wakho ukhulula ama-hormone okucindezeleka njenge-adrenaline.

Ngokuvala lawa ma-switch, i-nadolol igcina izinga lokushaya kwenhliziyo yakho lizinzile futhi iyivimbela ekusebenzeni kanzima kakhulu. Lokhu kuyasiza ikakhulukazi ezimweni ezicindezelayo noma emisebenzini engokomzimba lapho inhliziyo yakho ingase igijime noma ishaye.

I-Nadolol ithathwa njenge-beta-blocker enamandla aphakathi nendawo esebenza kuwo wonke umzimba wakho, hhayi ezindaweni ezithile kuphela. Yilokho odokotela abakubiza ngokuthi i- "non-selective" beta-blocker, okusho ukuthi ithinta izinhlobo eziningi zama-beta-receptors ezingxenyeni ezahlukene zomzimba wakho.

Umuthi uhlala usebenza ohlelweni lwakho isikhathi eside, yingakho ngokuvamile udinga ukuwuthatha kanye ngosuku. Lo mphumela ohlala isikhathi eside usiza ukuhlinzeka ngokulawulwa kwengcindezi yegazi okuzinzile nokuvikelwa kwenhliziyo ubusuku nemini.

Kufanele Ngiyithathe Kanjani I-Nadolol?

Thatha i-nadolol ngendlela eqondile udokotela wakho ayalela ngayo, ngokuvamile kanye ngosuku ngesikhathi esifanayo nsuku zonke. Ungayithatha ngokudla noma ngaphandle kokudla, kodwa zama ukungaguquguquki ekukhetheni kwakho ukuze usize umzimba wakho ukuyimunca ngendlela elindelekile.

Gwinya ithebhulethi yonke ngengilazi yamanzi egcwele. Ungayichobozi, uyihlafune, noma uyiphule ithebhulethi, ngoba lokhu kungathinta indlela umuthi okhululwa ngayo emzimbeni wakho.

Kungcono ukuthatha i-nadolol ngesikhathi lapho ungayikhumbula kalula, njengokwenza umsebenzi wakho wasekuseni noma ukudla kwakusihlwa. Abantu abaningi bathola ukuthi ukuyithatha ngesikhathi esifanayo nsuku zonke kubasiza ukuthi bakhumbule futhi kunikeze nezinzuzo ezihambisanayo.

Uma udinga ukudla ngaphambi kokuthatha i-nadolol, ukudla okulula kulungile. Nokho, gwema ukudla okukhulu, okunzima ngaphambi nje komthamo wakho, ngoba lokhu kunganciphisa ukuthi umzimba wakho uyimunca ngokushesha kangakanani imithi.

Kufanele Ngiyithathe Isikhathi Esingakanani I-Nadolol?

Abantu abaningi badinga ukuthatha i-nadolol izinyanga noma iminyaka ukuze balawule ngempumelelo ingcindezi yabo yegazi noma isimo senhliziyo. Ingcindezi yegazi ephezulu nezinkinga zenhliziyo ngokuvamile ziyizimo zesikhathi eside ezidinga ukwelashwa okuqhubekayo ukuze kuvinjelwe izinkinga.

Udktela wakho uzohlola njalo ukuthi umuthi usebenza kahle kangakanani kuwe ngokufunda umfutho wegazi, ukuqapha izinga lokushaya kwenhliziyo, futhi mhlawumbe nokuhlolwa kwegazi. Ngokuya ngemiphumela yalezi zivivinyo, bangase balungise umthamo wakho noma uhlelo lokwelashwa.

Ungayeki ukuthatha i-nadolol ngokuzumayo, ngisho noma uzizwa ungcono. Ukuyeka lo muthi kungazelelwe kungabangela ukukhuphuka okuyingozi komfutho wegazi noma kuqale izinkinga ezingathi sína zenhliziyo. Uma udinga ukuyeka i-nadolol, udokotela wakho uzokwehlisa kancane kancane umthamo wakho ezinsukwini ezimbalwa noma emasontweni.

Abanye abantu bangase bakwazi ukwehlisa umthamo wabo noma bayeke umuthi uma izinguquko zabo zokuphila zithuthukisa kakhulu impilo yabo yenhliziyo. Kodwa-ke, lesi sinqumo kufanele senziwe ngaso sonke isikhathi ngokubambisana nomhlinzeki wakho wezempilo ngokusekelwe esimweni sakho.

Yiziphi Imiphumela Eceleni ye-Nadolol?

Njengayo yonke imithi, i-nadolol ingabangela imiphumela emibi, nakuba abantu abaningi beyibekezelela kahle. Imiphumela eminingi emibi ithambile futhi ivame ukuthuthuka njengoba umzimba wakho ujwayela umuthi emasontweni ambalwa okuqala.

Nawa amanye imiphumela emibi evame kakhulu ongase uyithole, futhi kujwayelekile ngokuphelele ukuba neminye yalezi njengoba umzimba wakho ujwayela umuthi:

• Ukuzwa ukhathele noma ukukhathala, ikakhulukazi emasontweni ambalwa okuqala
• Isiyezi noma ukukhathala lapho usukuma ngokushesha
• Izandla nezinyawo ezibandayo ngenxa yokuncipha kokugeleza kwegazi ezingxenyeni zomzimba
• Ukushaya kwenhliziyo okuhamba kancane, okuyingxenye yendlela umuthi osebenza ngayo
• Ukuhluleka ukulala noma amaphupho angavamile
• Ukuphazamiseka kwesisu okuncane noma isicanucanu

Le miphumela evamile ivame ukungabonakali njengoba umzimba wakho ujwayela umuthi. Uma ziqhubeka noma zikuphazamisa kakhulu, yazisa udokotela wakho ukuze bakusize ukuzilawula.

Kukhona neminye imiphumela emibi engavamile kodwa engathi sína edinga ukunakekelwa kwezempilo ngokushesha, nakuba lokhu kwenzeka kaningi:

• Ukuquleka okukhulu noma ukuquleka
• Izinga lokushaya kwenhliziyo elihamba kancane kakhulu (ngaphansi kwama-50 okushaya ngomzuzu)
• Ukuphefumula kanzima noma ukukhwehlela
• Ukuvuvukala emilenzeni yakho, emaqakaleni, noma ezinyaweni
• Ukukhuluphala okungazelelwe
• Ukucindezeleka okukhulu noma izinguquko zemizwa

Uma uhlangabezana nanoma yimaphi alawa maphuzu abalulekile, xhumana nomhlinzeki wakho wezempilo ngokushesha. Bangakwazi ukusiza ukuthola ukuthi ngabe udinga ukulungisa umthamo wakho noma uzame omunye umuthi.

Ubani Ongafanele Athathe I-Nadolol?

I-Nadolol ayiphephile kuwo wonke umuntu, futhi udokotela wakho uzobuyekeza ngokucophelela umlando wakho wezokwelapha ngaphambi kokuwunika. Kunezimo eziningana ezenza lo muthi ube yingozi noma ungasebenzi kahle.

Akufanele uthathe i-nadolol uma unezimo ezithile zenhliziyo ezingase zibe zimbi ngokushaya kwenhliziyo okuhamba kancane:

• Ukwehluleka kwenhliziyo okukhulu noma imisipha yenhliziyo ebuthakathaka kakhulu
• Izinhlobo ezithile zezinkinga zokushaya kwenhliziyo (ukuvaleka kwenhliziyo)
• Izinga lokushaya kwenhliziyo elihamba kancane kakhulu (i-bradycardia) ngaphandle kwe-pacemaker
• Isifuba esikhulu noma isifo esingamahlalakhona sokuvinjelwa kwamaphaphu (i-COPD)

Ngaphezu kwalokho, i-nadolol idinga ukuqapha okukhethekile uma unesifo sikashukela, isifo sezinso, noma izinkinga zesibindi. Udokotela wakho angase adinge ukulungisa umthamo wakho noma akuqaphele eduze uma unezimo ezinjalo.

Uma ukhulelwe, uhlela ukukhulelwa, noma uncelisa, xoxa ngalokhu nodokotela wakho. Ngenkathi i-nadolol ingase idingeke ngezikhathi ezithile ngesikhathi sokukhulelwa, idinga ukuqapha ngokucophelela ukuqinisekisa ukuthi wena nomntwana wakho nihlala ninempilo.

Njalo tshela udokotela wakho ngayo yonke imithi, izithasiselo, nemikhiqizo yamakhambi oyithathayo, njengoba eminye ingase ihlangane ne-nadolol ngezindlela ezingaba yingozi.

Amagama Omkhiqizo we-Nadolol

I-Nadolol itholakala ngaphansi kwegama lomkhiqizo elithi Corgard, okuyilona hlobo olwaziwa kakhulu lalo muthi. Kodwa-ke, izinhlobo ezivamile ze-nadolol nazo ziyatholakala futhi zisebenza ngempumelelo njengohlobo lwegama lomkhiqizo.

I-nadolol ejwayelekile iqukethe isithako esifanayo esisebenzayo ngamandla afanayo ne-Corgard, kodwa ngokuvamile ibiza kancane. Ikhemisi lakho lingakunika ngokuzenzakalelayo inguqulo ejwayelekile ngaphandle uma udokotela wakho ebhala ngqo ukuthi "umkhiqizo oludingekayo" emiyalweni yakho.

Noma ngabe uthatha inguqulo yegama lomkhiqizo noma ejwayelekile, umuthi usebenza ngendlela efanayo emzimbeni wakho. Abanye abantu bakhetha ukunamathela kunguqulo eyodwa ukuze bavumelane, kanti abanye bazizwa bekhululekile ukushintsha phakathi kwegama elivamile nomkhiqizo ngokuya ngezindleko noma ukutholakala.

Ezinye Izindlela Zokwelapha ze-Nadolol

Uma i-nadolol ingasebenzi kahle kuwe noma ibangela imiphumela engathandeki, udokotela wakho unezinye izinketho eziningana okufanele azicabangele. Kunezinye izinhlobo eziningi ze-beta-blockers neminye imithi yomfutho wegazi engasebenza kangcono esimweni sakho esithile.

Ezinye izithiyo ze-beta ezisebenza ngendlela efanayo ne-nadolol zifaka i-metoprolol, i-atenolol, ne-propranolol. Ngayinye inezici ezehlukile kancane mayelana nokuthi ihlala isikhathi esingakanani, yiziphi izingxenye zomzimba ezizithinta kakhulu, nokuthi yiziphi imiphumela emibi evame ukuyibangela.

Udokotela wakho angase futhi acabangele ezinye izinhlobo zemithi yomfutho wegazi efana ne-ACE inhibitors, i-calcium channel blockers, noma ama-diuretics. Lezi zisebenza ngezindlela ezihlukene kune-beta-blockers futhi zingase zifaneleke uma unezimo ezithile zempilo.

Ukukhetha okunye kuncike ezidingweni zakho zempilo ezithile, eminye imithi oyithathayo, nokuthi umzimba wakho usabela kanjani ekwelashweni okuhlukene. Udokotela wakho uzosebenza nawe ukuthola inketho engcono kakhulu uma i-nadolol ingafaneleki.

Ingabe i-Nadolol Ingcono Kune-Metoprolol?

Kokubili i-nadolol ne-metoprolol bangama-beta-blockers asebenzayo, kodwa banamandla ahlukene okwenza ngamunye afaneleke kangcono ezimweni ezihlukene. Akukho noyedwa "ongcono" kunomunye - kuya ngezidingo zakho ngazinye nezimo zempilo.

Inzuzo enkulu ye-Nadolol ukuthi ihlala isikhathi eside emzimbeni wakho, ngakho-ke udinga ukuyithatha kanye ngosuku. Lokhu kungenza kube lula ukukhumbula futhi kungahlinzeka ngokulawulwa komfutho wegazi okuqhubekayo usuku lonke nobusuku.

Ngakolunye uhlangothi, i-Metoprolol ikhetha kakhulu endleleni esebenza ngayo. Isebenza ikakhulukazi enhliziyweni yakho kunakwezinye izitho zomzimba wakho, okungasho imiphumela emibi embalwa kwabanye abantu, ikakhulukazi labo abanezinkinga zokuphefumula.

Udokotela wakho uzocabangela izinto ezinjengomsebenzi wakho wansuku zonke, ezinye izimo zempilo, nokuthi usabela kanjani emuthini ngamunye lapho enquma ukuthi yimuphi ongcono kuwe. Abanye abantu benza ngcono ngobuhle bokuthatha i-nadolol kanye ngosuku, kanti abanye bakhetha isenzo esiqondiswe kakhulu se-metoprolol.

Imibuzo Evame Ukubuzwa Mayelana ne-Nadolol

Ingabe i-Nadolol iphephile kubantu abanesifo sikashukela?

I-Nadolol ingasetshenziswa ngokuphepha kubantu abanesifo sikashukela, kodwa idinga ukuqapha nokuqwashisa okwengeziwe. Ama-beta-blockers afana ne-nadolol angakwazi ukufihla ezinye zezimpawu zokuxwayisa zikashukela ophansi, ikakhulukazi ukushaya kwenhliziyo okusheshayo okuvame ukukuxwayisa nge-hypoglycemia.

Uma unesifo sikashukela, uzodinga ukuhlola ushukela wakho wegazi kaningi lapho uqala i-nadolol. Gxila kwezinye izimpawu zikashukela ophansi njengokujuluka, ukudideka, noma ukuthuthumela kunokuncika ekushintsheni kwesilinganiso senhliziyo.

Udokotela wakho uzosebenza eduze nawe ukuze alungise imithi yakho yesifo sikashukela kanye nomthamo we-nadolol njengoba kudingeka. Abantu abaningi abanesifo sikashukela bathatha ama-beta-blockers ngempumelelo - kudinga nje ukuqapha okucophelelayo ukuze kugcinwe zombili izimo zilawulwa kahle.

Ngingenzani uma ngiphuthelwa ngithatha i-Nadolol eningi kakhulu?

Uma ngengozi uthatha i-nadolol eningi kunaleyo ebekiwe, xhumana nodokotela wakho noma isikhungo sokulawula ubuthi ngokushesha, ngisho noma uzizwa ulungile. Ukuthatha okuningi kakhulu kungabangela ukushaya kwenhliziyo okuhamba kancane ngendlela eyingozi, umfutho wegazi ophansi kakhulu, noma ubunzima bokuphefumula.

Ungalindi ukuthi izimpawu zivele ngaphambi kokufuna usizo. Imiphumela yokweqisa umthamo ingase ingaveli ngokushesha, kodwa ingaba yingozi uma yenzeka.

Ngesikhathi ulinde iseluleko sezokwelapha, gwema ukushayela noma ukusebenzisa imishini. Kufanele kube nomuntu ohlala nawe uma kungenzeka, futhi ungaphuci eminye imithi ngaphandle uma utshelwe ngqo ukuthi wenze kanjalo ngumhlinzeki wezempilo.

Kufanele Ngenzeni Uma Ngeqe Umthamo We-Nadolol?

Uma weqa umthamo we-nadolol, yithathe ngokushesha lapho ukhumbula, ngaphandle uma sekuseduze isikhathi somthamo wakho olandelayo. Kulokho, weqa umthamo oqediwe bese uthatha umthamo wakho olandelayo ngesikhathi esijwayelekile.

Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa ukuze ulungise umthamo oqediwe. Lokhu kungabangela ukuthi izinga lokushaya kwenhliziyo yakho nomfutho wegazi lehle kakhulu, okungaba yingozi.

Uma uvame ukukhohlwa imithamo, cabangela ukusetha i-alamu yansuku zonke noma usebenzise umhleli wamaphilisi ukukusiza ukuthi ukhumbule. Ukuthatha imithamo yansuku zonke ngokuqhubekayo kubalulekile ekugcineni umfutho wegazi wakho nezinga lokushaya kwenhliziyo kulawulwa kahle.

Ngingayeka Nini Ukuthatha I-Nadolol?

Akufanele uyeke ukuthatha i-nadolol ngaphandle kokukhuluma nodokotela wakho kuqala, ngisho noma uzizwa kahle ngokuphelele. Ukuyeka ngokuphazima le mithi kungabangela ukukhuphuka okuyingozi komfutho wegazi noma kuqale izinkinga ezinzima zenhliziyo.

Udokotela wakho uzoqoka ukuthi kuphephile nini ukuyeka i-nadolol ngokusekelwe ekufundweni komfutho wegazi lakho, impilo yenhliziyo, kanye nesimo sakho sezokwelapha esiphelele. Uma ukuyeka kufanelekile, bazokwakha uhlelo lokunciphisa kancane umthamo wakho ezinsukwini eziningana noma emasontweni.

Noma ngabe umfutho wegazi lakho uthuthuke kakhulu, kungenzeka usadinga ukuqhubeka ne-nadolol ukuze ugcine lawo mazinga anempilo. Umfutho wegazi ophezulu ngokuvamile udinga ukwelashwa kwesikhathi eside ukuvimbela izinkinga ezinjengesifo senhliziyo noma unhlangothi.

Ngingakwazi Ukuphuza Utywala Ngenkathi Ngithatha I-Nadolol?

Kungcono ukunciphisa ukusetshenziswa kotshwala ngenkathi uthatha i-nadolol, njengoba kokubili kunganciphisa umfutho wegazi lakho futhi kubangele isiyezi noma ukukhathala. Uma kuhlanganiswe, le miphumela ingaba namandla futhi ibe yingozi.

Uma ukhetha ukuphuza utshwala, kwenze ngokulinganisela futhi uqaphele ukuthi uzizwa kanjani. Qala ngezilinganiso ezincane ukuze ubone ukuthi umzimba wakho usabela kanjani, futhi gwema ukuphuza uma usuvele uzizwa unesiyezi noma ukhathele.

Xoxa nodokotela wakho mayelana nokuthi yiliphi izinga lokusetshenziswa kotshwala, uma likhona, eliphephile kuwe ngenkathi uthatha i-nadolol. Bangakunikeza isiqondiso esiqondene nawe ngokusekelwe esimweni sakho sempilo kanye neminye imithi ongase uyithathe.